NICHOLAS ANDREW BROADWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172631

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ANDREW

Last Name

BROADWAY

Business Name

NICHOLAS ANDREW BROADWAY

Original Issue Date

11/17/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/17/2022